NPI 1952618043

County of Walworth

Organisation Dental Assistant Elkhorn, WI

Practice location

Address: 1910 County Road Nn, Elkhorn, WI 53121-4454
Phone: (262) 741-3200
Fax: (262) 741-3217
Mailing address: PO Box 1005, Elkhorn, WI 53121-1005

Authorised official

Name: Carlo Jon Nevicosi
Title: Director
Phone: (262) 741-3200

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

Other Dental Assistant providers in Wisconsin →

Registry record

NPI: 1952618043
Entity type: Organization
NPI issued: 10 Sep 2010
Record last updated: 28 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.